OrganizationActive
Initia Nova Medical Solutions
NPI 1215479308 · Addiction Medicine (Internal Medicine) Physician · Cherry Hill, NJ
Provider details
- NPI number
- 1215479308
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Patrick Sullivan, Owner(856) 625-8563
- License
- 25MB08239800 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1930 Marlton Pike E
Cherry Hill, NJ 08003-2150
Phone: (856) 446-6961
Street-level locationGet directions
Mailing address
1930 Marlton Pike E
Cherry Hill, NJ 08003-2150
Registry dates
- Enumerated
- 2016-11-07
- Last updated
- 2016-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.